Organization
APB MEDICAL PC
Active
Organization
APB MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE BLAKE (M.D.)
(208) 342-7792
Entity
Organization
Contact information
Practice address
222 N 2ND ST STE 304, BOISE, ID 83702-6131
(208) 342-7792
Mailing address
222 N 2ND ST STE 304, BOISE, ID 83702-6131
(208) 342-7792
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M5730
ID
Other
Enumeration date
02/06/2008
Last updated
06/26/2012
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